Provider Demographics
NPI:1528764149
Name:BHUMNARAIN, NADIKA INDRANI
Entity type:Individual
Prefix:
First Name:NADIKA
Middle Name:INDRANI
Last Name:BHUMNARAIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NADIKA
Other - Middle Name:INDRANI
Other - Last Name:BHUMNARAIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN, FNP
Mailing Address - Street 1:2847 AVIS CT
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-3001
Mailing Address - Country:US
Mailing Address - Phone:941-602-6104
Mailing Address - Fax:
Practice Address - Street 1:302 CHAPPAQUA RD
Practice Address - Street 2:
Practice Address - City:BRIARCLIFF MANOR
Practice Address - State:NY
Practice Address - Zip Code:10510-1354
Practice Address - Country:US
Practice Address - Phone:914-762-2276
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-06
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF351289-01363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty